Weinraub, Jennifer
Weinraub, Jennifer is an sole proprietor health care provider with primary practice located at 318 S Albany St Beechtree Care Center, Ithaca NY 14850-5406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Weinraub, Jennifer can be contacted via phone (607) 273-4166.Contact Information
Primary practice address
318 S Albany St Beechtree Care Center
Ithaca NY 14850-5406
Phone: (607) 273-4166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 170781 | New York |
Profile Details
| NPI number | 1902807407 |
|---|---|
| LBN Legal business name | Weinraub, Jennifer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Oct 10th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902807407 | NPPES |
| New York | MEDICAID | 01831149 |
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